Active NPI
Cody Varnson, PHARM.D.
- Pharmacist
- Grand Forks, ND
National Provider Identifier
1780197319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5982
- Practice address
- 708 S Washington St
Grand Forks, ND 58201-4328 - Phone
- (701) 746-0497
- NPI assigned
- Nov 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5982 | ND | Primary |
Addresses
Primary practice location
708 S Washington St
Grand Forks, ND 58201-4328
Mailing address
708 S Washington St
Grand Forks, ND 58201-4328
Phone (701) 746-0497
Other practice location 1
4440 S Washington St # 101D
Grand Forks, ND 58201-7245
Phone (701) 732-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH5982 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walls Medicine Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Grand Forks, ND
- NPI 1407946338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780197319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S WASHINGTON ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014328",
"telephone_number": "701-746-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S WASHINGTON ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014328",
"telephone_number": "701-746-0497"
}
],
"practiceLocations": [
{
"address_1": "4440 S Washington St # 101D",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582017245",
"country_code": "US",
"telephone_number": "701-732-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARNSON",
"first_name": "CODY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.